Program Statements are an important part of your facility, resident care, and even for care teams. Even though they’re required by DHS 83 (and DHS 88), it is a wonderful opportunity to “show off” your assets and services in addition to proving your commitment to quality care. The content should, at a minimum, include:
- Staffing patterns
- Available nursing
- Resident capacity
- CBRF classification
- Resident groups served
- Program goals and services
- Services not provided
I suggest having specific sections within the Program Statement that are titled as follows:
- Target Population – What will the primary resident group be? If there is a variety of residents/diagnoses/needs, how will you ensure that the resident groups will be compatible with one another?
- Capacity/Class – Note the classification, i.e. A, AS, ANA, C, CS, CNA. How many beds? Is it co-ed? Briefly explain the layout of the house, i.e. how many bedrooms, how many bathrooms, smoking policy, stairs, the number of floors.
- Admission Policy – If residents are accepted, what is the age range? Clarify the requirements. For example, must be ambulatory, semi-ambulatory, mentally and physically capable of responding to a fire or tornado alarm. Include limitations in services, i.e. do you accept a resident in need of constant hospitalizations? What about residents that are bed ridden? Perhaps you do not accept residents that have a history of property destruction. What about residents who are physically or mentally abusive to others? Perhaps you do not accept residents with a history of pyromania. Please note that if you do accept residents that present these behaviors, preventative measures must be taken and documented.
- Staff Levels and Training – What is the ratio of staff to residents? Note, it must be adequate to meet the needs of the residents. Do you provide 24-awake supervision? If not, explain what you do provide. What type of training does your staff undergo (take into consideration the minimum required by the DQA).
- Program Goals – You may want to include specific goals such as promoting meeting goals in order to improve residents’ sense of self-confidence and self-worth, as well as developing or maintaining a meaningful level of community participation, as well as improving their level of independent functioning.
- Program Rate – Here you list the daily per diem rate (unless required differently) OR you may just state that it’s disclosed in the placement agency’s contract. This might be necessary if the contracted rate changes year to year (and, since the Program Statement isn’t generally updated, we should ensure accuracy).
It is also imperative to list the Program Services. I suggest including, at a minimum, the following:
- Leisure Time and Community Activities. Here you might include how you promote resident participation in activities and community integration. This is the section where you might list what you provide for “outings” and group activities, as well as what you provide in the home.
- Family Contacts. Here you might detail how you promote family contacts whether by phone calls, visits, or letter writing, as well as the assistance you provide to the resident.
- Nutrition. How do you meet the nutritional needs of the residents? What type of meals, snacks, etc. do you provide? Can you accommodate various diets or cultural needs? These are questions that should be answered here.
- Transportation. Here you might include whether or not you provide transportation and, if so, to what? If not, how do you assist with this?
- Informational Services. Detail what you provide in regards to keeping the treatment/care teams informed, i.e. temporary ISPs, comprehensive ISPs, progress reports, in-person meetings, telephone calls, etc.
- Medication Monitoring. How are medications administered, i.e. administered by staff with RN supervision, administered by staff AND the resident without RN supervision, or do the residents self-administer their medications? What other services do you provide? Additional groups with residents regarding medications? List that here.
- Money Management. You might include information as to whether or not you manage resident money, what type of assistance you provide, or if you provide money management training.
- Daily Living Skills Training. Do you provide training in this area? Do you promote independence and/or encourage residents to complete activities of daily living whether with or without assistance? How do you do so?
- Survival Skills, Social Skills, and Safety Training. Promotion of skills, in this area, should provide opportunities for residents to learn to be self-sufficient and/or as independent as possible in order to foster growth in these areas or assistance in areas of vulnerability.
Be sure to provide your program statement to a new resident and their guardian (or legal representative), if applicable, before finalizing an agreement to provide care. Also keep in mind that any change in your program statement must be submitted to the Department at least 30 days before its effective date.